A Sustainable Model for Patient follow-up following an International Cleft Mission

Wes, Ari M.; Paul, Nadine; Gerety, Patrick A.; Folsom, Nancy; Swanson, Jordan W.; Taylor, Jesse A.; Weinstein, Mark H.

doi:10.1597/16-159

Cited by 12 publications

(10 citation statements)

References 39 publications

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“…Following cleft lip and palate surgical trips, Foong et al reported a 1-week follow-up rate of 60%, which decreased to 28% by 1-year follow-up [ 4 ]. Similar difficulties related to poor follow-up compliance after surgical trips are reported by other authors [ 5 , 6 ].…”

Section: Introductionsupporting

confidence: 85%

Assessment of communication technology and post-operative telephone surveillance during global urology mission

et al. 2018

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ObjectiveCompliance with post-operative follow-up in the context of international surgical trips is often poor. The etiology of this problem is multifactorial and includes lack of local physician involvement, transportation costs, and work responsibilities. We aimed to better understand availability of communication technologies within Belize and use this information to improve follow-up after visiting surgical trips to a public hospital in Belize City. Accordingly, a 6-item questionnaire assessing access to communication technologies was completed by all patients undergoing evaluation by a visiting surgical team in 2014. Based on this data, a pilot program for patients undergoing surgery was instituted for subsequent missions (2015–2016) that included a 6-week post-operative telephone interview with a visiting physician located in the United States.ResultsFifty-four (n = 54) patients were assessed via survey with 89% responding that they had a mobile phone. Patients reported less access to home internet (59%), local internet (52%), and email (48%). Of 35 surgical patients undergoing surgery during 2 subsequent surgical trips, 18 (51%) were compliant with telephone interview at 6-week follow-up. Issues were identified in 3 (17%) patients that allowed for physician assistance. The cost per patient interview was $10 USD.Electronic supplementary materialThe online version of this article (10.1186/s13104-018-3256-2) contains supplementary material, which is available to authorized users.

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Section: Introductionsupporting

confidence: 85%

Assessment of communication technology and post-operative telephone surveillance during global urology mission

et al. 2018

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“…Several studies in this review consistently report on follow-up, showing that substantial efforts are being made to improve the data output of missions 16 34 35 49–51 61 63. Ten studies reported significant follow-up lengths of more than 6 months and high numbers of patients returning for follow-up were shown 16 34 35 47 49 58 60–62 66. The majority of these missions were engaged in long-term partnerships.…”

Section: Discussionmentioning

confidence: 83%

“…One contracture study reported improvements in quality of life and disability by using validated questionnaires, and reported overall positive outcomes 63. Two cleft studies used self-developed questionnaires to assess PROMs, reporting positive results 61 66. None of the studies reported on patient-reported outcomes on the quality of the care provided.…”

Section: Resultsmentioning

confidence: 99%

“…Although some studies reported on health gains, with several studies reporting positive functional outcomes,16 47 61 63 66 the methods and evidence are heterogeneous and results are too limited to draw conclusions. The role of PROMs are effective in reconstructive surgery to assess the quality and outcomes of healthcare 80 81.…”

Section: Discussionmentioning

confidence: 99%

“…The role of PROMs are effective in reconstructive surgery to assess the quality and outcomes of healthcare 80 81. Only few of the studies included reported successfully on outcomes using PROMs61 63 66 and none assessed the quality of care experienced by patients. Patient experience of outcomes and quality is important 82.…”

Section: Discussionmentioning

confidence: 99%

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Impact of short-term reconstructive surgical missions: a systematic review

et al. 2019

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IntroductionShort-term missions providing patients in low-income countries with reconstructive surgery are often criticised because evidence of their value is lacking. This study aims to assess the effectiveness of short-term reconstructive surgical missions in low-income and middle-income countries.MethodsA systematic review was conducted according to PRISMA guidelines. We searched five medical databases from inception up to 2 July 2018. Original studies of short-term reconstructive surgical missions were included, which reported data on patient safety measurements, health gains of individual patients and sustainability. Data were combined to generate overall outcomes, including overall complication rates.ResultsOf 1662 identified studies, 41 met full inclusion criteria, which included 48 546 patients. The overall study quality according to Oxford CEBM and GRADE was low. Ten studies reported a minimum of 6 months’ follow-up, showing a follow-up rate of 56.0% and a complication rate of 22.3%. Twelve studies that did not report on duration or follow-up rate reported a complication rate of 1.2%. Fifteen out of 20 studies (75%) that reported on follow-up also reported on sustainable characteristics.ConclusionsEvidence on the patient outcomes of reconstructive surgical missions is scarce and of limited quality. Higher complication rates were reported in studies which explicitly mentioned the duration and rate of follow-up. Studies with a low follow-up quality might be under-reporting complication rates and overestimating the positive impact of missions. This review indicates that missions should develop towards sustainable partnerships. These partnerships should provide quality aftercare, perform outcome research and build the surgical capacity of local healthcare systems.PROSPERO registration numberCRD42018099285.

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Outcome Assessment

Park¹,

Restrepo²,

Riff³

et al. 2021

Global Cleft Care in Low-Resource Settings

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A Sustainable Model for Patient follow-up following an International Cleft Mission

Abstract: In one month, a survey response rate of more than 50% was obtained by leveraging the increased adoption of mobile phones in rural settings. Nearly all patients/families treated during the cleft mission were satisfied with the care that they received.

Cited by 12 publications

References 39 publications

Assessment of communication technology and post-operative telephone surveillance during global urology mission

Assessment of communication technology and post-operative telephone surveillance during global urology mission

Impact of short-term reconstructive surgical missions: a systematic review

Outcome Assessment

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